妊娠期糖尿病产后随访及临床干预必要性研究

目的:探讨妊娠期糖尿病(GDM)孕妇产后不同时期的糖代谢情况,了解GDM患者产后糖代谢紊乱发病率。方法:对100例GDM孕妇按产后饮食情况分成两组,分别为正常饮食组(64例)和糖尿病饮食组(36例),于产后6周、6个月、1年行OGTT及其他相关指标检查。结果:正常饮食组64例,产后6周、6个月、1年糖耐量异常发生率分别为40.6%、51.6%和53.1%,糖尿病饮食组产后6周、6个月、1年糖耐量异常发生率分别为19.4%,22.2%和27.8%,两组同期比较,差异有统计学意义,正常饮食组高于糖尿病饮食组,GDM患者糖尿病家族史阳性率与对照组比较差异有显著统计学意义(P0.01),观察组高于对照组。结论:GDM孕妇产后糖代谢异常以糖耐量异常为主,产后继续饮食控制可有效减少患者产后糖代谢异常的发生率。

Study on postpartum follow-up and necessity of clinical intervention in patients with gestational diabetes mellitus

Objective:To explore the glucose metabolism status during different postpartum periods,and understand the incidence of postpartum glucose metabolism disorder in patients with gestational diabetes mellitus (GDM).Methods:100 patients with GDM were divided into normal diet group (64 cases) and GDM group (36 cases) according to postpartum diet,OGTT and detection of other related indicators were conducted at 6 weeks,6 months and 12 months after delivery.Results:The incidences of impaired glucose tolerance at 6 weeks,6 months and 12 months after delivery in normal diet group and GDM group were 40.6%,51.6%,53.1% and 19.4%,22.2%,27.8%,respectively,there was significant difference between the two groups;there was significant difference in positive rate of diabetes mellitus history between GDM group and normal diet group (P < 0.01).Conclusion:The main type of postpartum glucose metabolism disorder is impaired glucose tolerance,consistent dietary restriction after delivery may reduce the incidence of postpartum glucose metabolism disorder effectively.